Dr Andrew Shelley is preparing a hands-on clinical demonstration of the stages of complete dentures

Part 1. Primary and secondary impressions for an upper complete denture

Aims and objectives

  • Understand the anatomy of the denture bearing area and the recording of the functional sulcus in different (anterior and posterior) areas.
  • How to mould and soften the impression compound prior to the initial impression.
  • Tips on marking the borders on the impression for the special tray.
  • Demonstration of the special tray and the special tray upper impression.
  • How to design the correct special tray using green stick wax for posterior border moulding.
  • How to take the special tray impression in alginate and what areas to mark and inform the lab.

Part 2. Primary and secondary impressions for a lower complete denture

Aims and objectives

  • Two techniques for recording the impression of the edentulous lower jaw. The admixed technique described by McCord and Tyson in 1997 and functional impression technique.
  • Understand the anatomy related to the lower edentulous area.
  • How to mould and soften the impression compound prior to the initial impression.
  • Demonstration of the special tray and the special tray upper impression using the AdMix technique.
  • Demonstration of the functional impression from the base, recording the movement of the lips and other soft tissues.

Part 3. The bite registration stage

Aims and objectives to be inserted

Part 4. The try in stage

Aims and objectives

  • Show how to prescribe lip support and vertical dimension for complete upper dentures with natural lower teeth.
  • Demonstrate assessment of peripheral seal, fit, occlusion and appearance.
  • Explain how to prescribe tooth position for a reset in the laboratory.
  • Illustrate how to make minor changes in tooth position at the chairside for natural-looking tooth positions.
  • Present how to re-register where there are discrepancies in the occlusion.

Part 5. The fit stage

Aims and objectives

  • To illustrate the assessment of new dentures.
  • To discuss three techniques to identify the location of sore spots on the fitting surface of dentures.
  • To present a simple guide to denture occlusion.
  • To explore aspects of denture cleaning.
  • To explain some common denture faults.

5 videos
160 mins CPD/CE
800 views
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